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Constipation in Children
WHAT YOU NEED TO KNOW:
What is constipation?
Constipation is when your child has hard, dry bowel movements or goes longer than usual in between bowel movements.
What causes constipation?
- New foods in your child's diet
- Not going to the bathroom often enough
- Too much milk, cheese, yogurt, ice cream, or other milk products
- Not eating enough high-fiber foods
- Not drinking enough liquids each day
- Emotional issues that cause him or her to be tense
What are the signs and symptoms of constipation?
- Pain or crying during the bowel movement
- Abdominal pain or cramping
- Nausea or full feeling
- Liquid or solid bowel movement in your child's underwear
- Blood on the toilet paper or bowel movement
How is constipation diagnosed?
Your child's healthcare provider will ask about your child's bowel movements and examine him or her. He or she may take a sample of bowel movement from your child's rectum. Your child may need an x-ray of his or her abdomen. This will help your child's healthcare provider see if your child has constipation.
How is constipation treated?
Medicines can help your child have a bowel movement more easily. Medicines may increase moisture in your child's bowel movement or increase the motion of his or her intestines.
- A suppository may be used to help soften your child's bowel movements. This may make them easier to pass. A suppository is guided into your child's rectum through his or her anus.
- Laxatives may help relax and loosen your child's intestines to help him or her have a bowel movement. Your child's healthcare provider can tell you the best laxative for your child. Use a laxative made specifically for your child's age and symptoms. Adult laxatives may be too strong for your child. Your provider may recommend your child only use laxatives for a short time. Long-term use may make his or her bowels dependent on the medicine.
- An enema is liquid medicine used to clear bowel movement from your child's rectum. The medicine is put into your child's rectum through his or her anus.
How can I help my child prevent constipation?
- Increase the amount of liquids your child drinks. Liquids can help keep your child's bowel movements soft. Ask how much liquid your child needs to drink and what liquids are best for him or her. Limit sports drinks, soda, and other drinks that contain caffeine.
- Feed your child a variety of high-fiber foods. This may help decrease constipation by adding bulk and softness to your child's bowel movements. Healthy foods include fruit, vegetables, whole-grain breads, low-fat dairy products, beans, lean meat, and fish. Ask your child's healthcare provider for more information about a high-fiber diet. Depending on your child's age, his or her provider may also recommend a fiber supplement.
- Help your child be active. Regular physical activity can help stimulate your child's intestines. Talk to your child's healthcare provider about the best exercise plan for your child.
- Set up a regular time each day for your child to have a bowel movement. This may help train your child's body to have regular bowel movements. Help him or her to sit on the toilet for at least 10 minutes at the same time each day. Do this even if he or she does not have a bowel movement. Do not pressure your young child to have a bowel movement.
- Give your child a warm bath. A warm bath at least 1 time each day can help relax his or her rectum. This can make it easier for him or her to have a bowel movement.
When should I seek immediate care?
- You see blood in your child's diaper or bowel movement.
- Your child's abdomen is swollen.
- Your child does not want to eat or drink.
- Your child has severe abdominal or rectal pain.
- Your child is vomiting.
When should I contact my child's healthcare provider?
- Management tips do not help your child to have regular bowel movements.
- It has been longer than usual between your child's bowel movements.
- Your child has an upset stomach.
- You have any questions or concerns about your child's condition or care.
Care AgreementYou have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's healthcare providers to decide what care you want for your child. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
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